Safety Checklist Form Template

Instantly Create Your Checklist, Just enter your details

Electrical Permit to Work Safety Checklist

Use our Checklist creator tool to create customised workplace safety documents. Learn more about Electrical Permit to Work Safety Checklist Template below
50% off your first month Standard £4.99 · Pro £12.49 for month one — applied automatically. Ends 31 July Claim offer
Safety Checklist Creator
Guest

Loading Safety Checklist Creator

Please wait while we prepare your workspace

Checklist Questions

Every question is included by default. Untick any you want to leave out, or delete the ones you don't need.

Click Add Question to add your own custom checks. Click a row to edit its wording, and drag to reorder.

The Yes / No / N/A tick-boxes and comments space are added automatically on the exported PDF or Word document.

No questions added yet — add your first one below.

Logo, Branding & Sign-off

Custom Branding Not Available

Create a free account, then upgrade to add your company logo.

Sign to confirm you completed this checklist

Click to sign on behalf, or leave blank for on-paper approval.

Review & Export

Choose your page orientation, then export a print-ready checklist.

Preview Document

See exactly how your checklist PDF will look before downloading.

Download PDF

Print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

Export to Word

An editable Word (.doc) version with Yes / No / N/A tick-boxes and a comments space.

Export to Excel

A spreadsheet version for digital tracking and filtering.

Important: The documents produced by this tool are templates only. They must be reviewed and approved by a competent person or your HSEQ representative prior to publication or circulation, in accordance with our Terms & Conditions.

PDF Preview

100%

Creating preview

Building your PDF preview…

Still Using Paper Sign-Off Sheets?

Once you've generated and saved your document, create a secure share link to distribute across any platform. Collect encrypted digital signatures from your team and generate professional sign-off reports.

Generate
Save
Share
Sign
Report
Try It Free

Increased Limits Available

Risk Assessment Description:

This electrical permit to work safety checklist template from Health & Safety Zone helps electricians, installers and supervisors ensure that electrical work is carried out safely and in compliance with the Electricity at Work Regulations 1989 and HSE guidance HSG85.

It covers all essential aspects of safe electrical work, including risk assessment, competence, isolation procedures, testing, personal protective equipment, emergency arrangements and permit closure. The checklist aligns with the relevant legislation and industry best practice.

Use this checklist for:

  • Pre‑work checks – confirm risk assessment, permit issuance and isolation before starting work.
  • During‑work verification – ensure safe execution, testing and PPE use.
  • Post‑work sign‑off – verify de‑energisation, lock removal and permit completion.

Each item is answered Yes, No or N/A – any No answer must be resolved before proceeding.

Fully editable and shareable — customise the questions to your site, download as a PDF and share with your team.

To use the checklist, the responsible electrician reviews each item, marks Yes, No or N/A, and any No response triggers immediate corrective action before work can continue. Completed checklists are retained as part of the permit documentation.

The checklist also supports compliance audits and continuous improvement of electrical safety practices.

Compliant with: Electricity at Work Regulations 1989; HSG85.

Sample PDF Document Image:

Checks covered in this Electrical Permit to Work checklist

This Electrical Permit to Work safety checklist template covers 22 checks. Customise the questions to your workplace, then download a professional, print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

#Checklist item
1Has a valid Electrical Permit to Work been issued for the task?
2Is a current risk assessment for the electrical work completed and communicated to all operatives?
3Is the electrician competent, trained and authorised to perform the specific work?
4Has the work area been assessed for additional hazards such as flammable atmosphere or limited access?
5Is the equipment to be isolated clearly identified and marked?
6Are all sources of supply correctly identified and verified as isolated (de‑energised) before work begins?
7Are lock‑out/tag‑out devices applied and secured to prevent re‑energisation?
8Is a verification test (voltage tester or appropriate instrument) performed to confirm absence of voltage?
9Is the testing equipment calibrated, in good condition and suitable for the voltage level?
10Are appropriate arc‑flash PPE (protective clothing, gloves, face shield) selected and worn?
11Is basic PPE (insulated gloves, safety footwear, eye protection) available and being worn?
12Are emergency shut‑off points clearly identified and accessible?
13Is a rescue plan in place for potential electric shock or arc‑flash incidents?
14Are barriers or signage used to segregate the work zone from unauthorised personnel?
15Is the equipment to be worked on inspected for visible damage, loose connections or corrosion before isolation?
16Are all portable tools inspected, tested (PAT) and suitable for the task?
17Is the work being carried out in accordance with the relevant BS 7671 requirements?
18Is a qualified person supervising the work where required?
19Has the work been completed and verified as safe before removing lock‑out/tag‑out devices?
20Are records of testing, isolation and PPE use retained as required?
21Has an arc‑flash risk assessment been carried out and the required PPE level confirmed?
22Is appropriate first aid equipment (e.g., insulated gloves, eye wash) readily available and accessible?

Frequently asked questions

Are these safety checklist templates really free to download?

Yes — completely free. Customise any checklist to your workplace and download a professional, print-ready PDF in minutes. No paywall, and no signup required for guests.

What format do the safety checklists download in?

Checklists download as a professional PDF, ready to print and complete on-site — each question has clear Yes / No / N/A tick-boxes and a comments space. You choose portrait or landscape at download. Word and spreadsheet formats are being added.

Can I customise the checklist questions to my workplace?

Yes — fully. Add your own questions, edit or remove any of the pre-written ones, and reorder them to suit your site, task or inspection before you download.

Are the safety checklists suitable for UK workplaces?

Yes. The checklists are written around UK health and safety good practice and HSE guidance, and are suitable for inspections, audits, toolbox checks and routine workplace monitoring.

Do I need an account to use the checklist templates?

No — guests can build and download a checklist for free without signing up. Register a free account if you want to save checklists to your dashboard and edit them later.

Can I add my company logo and branding to the checklist?

Yes — add your company logo, colours and details on Standard and Pro plans, so the exported checklist carries your own branding. Guests and Free downloads carry Health & Safety Zone branding.

How do I complete the checklist once it is downloaded?

The exported checklist is a blank, ready-to-use document: print it and tick Yes, No or N/A against each question and write any comments in the notes space, then sign and date it in the sign-off section.

What types of safety checklist can I create?

We are building specialist checklists across a wide range of subjects and industries — fire safety, workplace inspections, equipment and machinery checks, site inductions, vehicle checks, PPE, first aid and more. Browse by category to find the right one.

How often should safety checklists be completed?

It depends on the activity and your risk assessment — many checks are daily, weekly or monthly, while others are done before each task or shift. Completed, dated checklists provide a useful record of your monitoring.

Are the checklists a substitute for a risk assessment?

No. A checklist is a monitoring and inspection tool that complements your risk assessments and method statements — it helps confirm that controls are in place and working. Use them alongside your risk assessments.